Research Topic: Dermatology

Prevalence of Tinea pedis in military personnel: a systematic review and meta-analysis

Athlete’s foot is a common fungal infection affecting the feet that is especially prevalent in military personnel due to their unique living and working conditions. This comprehensive analysis of 25 studies found that about 17% of military personnel worldwide have tinea pedis, with higher rates in hot and humid climates like the Americas and Australia. The infection is promoted by factors such as tight military boots, shared facilities, sweating, and poor foot hygiene. The study recommends better footwear, improved hygiene practices, and more effective diagnostic methods to reduce this health problem in military populations.

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Deep cutaneous fungal infection in an immunocompetent individual caused by a biological pesticide: a rare case report

A 66-year-old farmer developed a deep skin fungal infection from a biological pesticide she used for over 10 years. The pesticide contained a fungus called Purpureocillium lilacinum, which is normally harmless to healthy people but caused repeated skin lesions on her face and arms. She was successfully treated with antifungal medication (itraconazole) for three months, and her skin fully healed without returning. This is the first reported case showing that biological pesticides can pose health risks to workers who handle them regularly.

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Two Cases of Fungal Melanonychia

This paper describes two unusual cases where fungal infections of the toenails caused dark pigmentation (melanonychia). The first patient had a combination of two fungi (Aspergillus hiratsukae and Trichosporon faecale) causing black nail streaks, while the second had Exophiala xenobiotica and Trichophyton interdigitale causing dark-brown discoloration. Both patients were successfully treated with an antifungal medication called efinaconazole over several months.

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Single-center retrospective analysis of 454 culture-positive patients with tinea capitis and measurement of pathogens regarding thermal tolerance at 37°C

Tinea capitis, commonly known as scalp ringworm, is a fungal infection that primarily affects children but can also occur in adults, especially postmenopausal women. This study of 454 patients in Hangzhou, China found that the most common cause is Microsporum canis (a fungus from cats and dogs), representing a shift from previous decades when different fungi were dominant. Researchers tested how well these fungi grow at human body temperature (37°C) versus room temperature, finding that most fungi adapt well to the warmer temperature, particularly Nannizzia gypsea, which grew equally well at both temperatures. Treatment typically involves oral antifungal medications like terbinafine or itraconazole, sometimes combined with topical treatments or steroids for inflammatory cases.

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Coexistence of Malassezia Species and Microsporum canis in the Lesions of Adult with Tinea Capitis

A 60-year-old woman developed unusual hair loss and rash on her scalp that looked like dandruff. Tests revealed three types of fungi, including Microsporum canis (usually found in animals) and two types of Malassezia yeast. Treatment with antifungal medications for three months cleared the infection. Laboratory experiments showed that the yeast species may actually help the fungus grow better, which could explain why adults sometimes get scalp fungal infections differently than children.

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Safety and efficacy of the swift microwave device in patients with mild-to-moderate onychomycosis: Protocol of an open-label, randomized, dose-finding pilot study

This study evaluates a new microwave device (Swift System) as a potential treatment for fungal nail infections (onychomycosis). The device uses microwave energy to heat and eliminate fungal infections directly at the nail site, avoiding the side effects of oral medications. Researchers tested three different treatment schedules in 39 patients over 12 months to find the most effective dosing approach.

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Combination of Q-switched 1,064 and 532 nm Nd: YAG laser in the treatment of toenail onychomycosis: a pilot study

This study tested a laser treatment using two different wavelengths (1,064 and 532 nanometers) to treat toenail fungal infections. Fifteen patients with toenail fungus received eight weekly laser sessions. The treatment was safe and worked best for mild cases, curing 100% of them, but was less effective for severe infections. Although patients experienced some pain during treatment, the overall results suggest laser therapy could be a useful option for treating mild fungal toenail infections without the side effects of oral medications.

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Randomized control trial to study the effectiveness of tablet Fluconazole, capsule Itraconazole and tablet Terbinafine in superficial dermatophytosis

This study tested three common antifungal medications used to treat fungal skin infections like ringworm. The research involved 180 patients who were randomly given one of three drugs and then checked at 4 and 8 weeks to see if the infection was gone. Itraconazole worked best, clearing infections in about 87% of patients, followed by Fluconazole at 73%, and Terbinafine at 63%.

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Erythema Nodosum Associated with Kerion: A Case Series and Narrative Review of the Literature

This paper describes a rare condition where patients develop painful red bumps on the shins (erythema nodosum) as a reaction to a severe scalp fungal infection (kerion) caused by Trichophyton mentagrophytes. The authors reviewed 23 similar cases and found that this reaction usually happens during antifungal treatment and resolves within about a week. Treatment with antifungal medications like griseofulvin, sometimes combined with anti-inflammatory steroids, is effective, though scarring of the scalp may remain.

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Photo Quiz: Asteroid bodies in a skin biopsy of a farmer

A farmer developed nodular skin lesions two weeks after a wrist injury during farming activities, which turned out to be sporotrichosis, a fungal infection caused by Sporothrix globosa. Skin biopsy revealed characteristic structures called asteroid bodies that helped suggest the diagnosis. The infection was confirmed through fungal culture and DNA testing, and was successfully treated with potassium iodide over six months.

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